Lymph Node Enlargement: When to Seek Medical Advice - Otolaryngology

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Lymphadenopathy


Hello, doctor.
I am the one who inquired about the lymph nodes related to salivary gland cancer today.
So, these two lymph nodes should be classified as benign from a medical standpoint, and I should continue to monitor them, right? However, I had a follow-up appointment a month ago, and my doctor said that I don't need to be seen so frequently and can come back in three months.
Do malignant lymph node metastases grow quickly? If there is no change in three months, it should not be malignant, right? Thank you for your patient response, doctor.

Alex, 40~49 year old female. Ask Date: 2023/04/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, generally, no significant changes are mostly benign findings.
If the original physician recommends a follow-up in three months, please follow their advice and schedule a regular follow-up in three months.
If there are any changes in the meantime, return for an earlier consultation.

Reply Date: 2023/04/22

More Info


When it comes to lymph node enlargement, understanding the underlying causes and when to seek medical advice is crucial. Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a vital role in the body’s immune response. They can become enlarged for various reasons, including infections, inflammatory conditions, and malignancies such as cancer.

In your case, it seems that you have been diagnosed with two enlarged lymph nodes, and your physician has indicated that they are likely benign. This is a positive sign, as benign lymph nodes typically do not pose a significant health risk. The recommendation to observe these nodes over a three-month period is standard practice, especially if there are no accompanying symptoms such as fever, night sweats, unexplained weight loss, or persistent pain.

Regarding your question about the growth rate of malignant lymph nodes, it is generally true that cancerous lymph nodes tend to enlarge more rapidly than benign ones. However, the growth rate can vary significantly depending on the type of cancer and individual patient factors. In many cases, if lymph nodes remain stable in size over a period of three months, it is less likely that they are malignant. Nevertheless, it is essential to maintain regular follow-ups with your healthcare provider, as they can monitor any changes and decide if further investigation is necessary.

If you notice any changes in the lymph nodes, such as increased size, firmness, or the development of new symptoms, it is important to contact your physician promptly. Additionally, if you experience systemic symptoms like fever, fatigue, or significant weight loss, these could be indicators of a more serious condition that warrants immediate medical attention.

In summary, while your current assessment suggests that the lymph nodes are benign and stable, continued observation is key. Following your physician's advice to return in three months is appropriate, and it is essential to remain vigilant for any changes. Regular communication with your healthcare provider will ensure that any potential issues are addressed promptly, allowing for the best possible management of your health.

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